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Monitoring Clinical Performance: The Role of Software Architecture

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Abstract

Methods of assessing and monitoring the performance of clinicians have received a lot of publicity in recent years. We review the main methodologies concentrating on the distinction between monitoring individual performance and monitoring aggregated performance. We also highlight the importance and difficulties associated with incorporating and assessing risk factors into the process. We discuss how software architecture can be developed to implement these methodologies. We illustrate this development by a case study involving the creation of a software tool to produce funnel plots to analyse surgeon performance. We discuss how such tools are currently evaluated and propose that in future assessments of usability would benefit from an experimental study.

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Authors and Affiliations

  1. Department of Mathematics, University of Westminster, 9-18 Euston Centre, LONDON, NW1 3ET

    Mike Rees

  2. Dendrite Clinical Systems Ltd., 2nd Floor, Ridings House, 28-30 West Barnes Lane, LONDON, SW20 0BP

    Jitesh Dineschandra

Authors
  1. Mike Rees
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  2. Jitesh Dineschandra
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Correspondence to Mike Rees.

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Rees, M., Dineschandra, J. Monitoring Clinical Performance: The Role of Software Architecture. Health Care Manage Sci 8, 197–203 (2005). https://doi.org/10.1007/s10729-005-2010-1

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  • DOI: https://doi.org/10.1007/s10729-005-2010-1

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